Arrival Confirmation
Northeastern University - Toronto Campus
Name (First, Last) *
NU ID Number *
Accompanying Family Members (please list):
Local Contact Information - Your Quarantine Address *
Phone number we can reach you. *
Emergency Contact (local or international) - Name, Phone Number and Relationship to you (example - friend, parent, etc.) *
Arrival Date: *
Arrival Time: *
时间
:
Quarantine End Date: *
年
/
月
/
日
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